Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010213812
Report Date: 08/27/2021
Date Signed: 08/27/2021 12:47:06 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:EMERYVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
010213812
ADMINISTRATOR:PORTER, LOISFACILITY TYPE:
850
ADDRESS:1220 - 53RD STREETTELEPHONE:
(510) 596-4343
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:90CENSUS: 0DATE:
08/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:48 AM
MET WITH:Quera OwensTIME COMPLETED:
12:55 PM
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On 8/27/21 at 10:48am, Licensing Program Analyst (LPA) Catherine Fernandes arrived at the facility for an unannounced 1 year required inspection. LPA met with Director Quera Owens. There were no children in care, staff is getting ready for the new school year. The facility operates Monday - Friday 7:45am - 5:30pm. This facility is licensed for a preschool program with a toddler option and the other component on site is an infant program. LPA toured the indoor and outdoor areas that are used for the preschool program, to conduct a health and safety inspection.
LPA completed a tour of all of the classrooms and outdoor spaces, to conduct a health and safety inspection with Director Quera Owens. LPA observed that all of the classrooms have sufficient heating, lighting and ventilation for the safety and comfort of children and staff. The classroom floors and surfaces appear to be safe and in good repair. There is an ample supply of age appropriate furniture, toys, activities and equipment which appear to be in good condition and safe. There is adequate storage for children's belongings. The mats are stored appropriately, and there is a sufficient supply for the amount of children enrolled. There are 2 toilets and 3 sinks available to children in every class that is sanitary and operational condition today. There are separate bathrooms for staff in each classroom. LPA observed that the kitchen is clean, free from hazards and adequately equipped. The facility gets food from an outside vendor and they serve snacks to children. LPA did not observe any food stored with cleaning supplies. The facility uses individual water bottles for children to supply water for children both indoors and outdoors. The outdoor water fountain is covered due to COVID-19. The outdoor play spaces are fully fenced and there is a sufficient amount of shade. There is an ample supply of age appropriate equipment and the play structure is secure and has soft rubber underneath for cushioning, to absorb the impact from a fall. LPA observed that the outdoor surfaces are free from hazards. LPA did not observe any bodies of water, hazardous items, toxins or medication accessible to children today. All required forms are posted. The last disaster drill was completed on 5/14/21. The facility is equipped with first aid kits, a working telephone, carbon monoxide detectors, centralized smoke detection system, pull down fire alarm near the front entrance and fully charged 3A40BC fire extinguishers.
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SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: EMERYVILLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 010213812
VISIT DATE: 08/27/2021
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The facility uses a sign in sign out system and is in compliance with the sign in/out procedures. LPA reviewed staff files for all teachers. No children's files were reviewed due to the new school year starting.

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The Director confirmed that as of right now no children currently require medication to be provided while in care.

The administrator was reminded to review information related to applicable regulations on Licensing website at www.ccld.ca.gov. LPA reminded the Director to adhere to all requirements within the regulations at all times including supervision, personal rights, unusual incident and injury reporting, and criminal record clearance and association requirements. The licensee was encouraged to email

ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. LPA reminded the licensee that the mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There are no deficiencies being cited based on todays inspection.
A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and appeal rights provided.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021
LIC809 (FAS) - (06/04)
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